AMELIA DEE JACKSON

GRAVETTE, AR
NPI1093105918
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: AR  A004287)
Enumeration Date2015-01-30
Last Update Date2023-10-13
Business Address
AMELIA DEE JACKSON NP-C
1101 JACKSON ST SW
GRAVETTE, AR 72736-9121
Phone number: 479-787-5221
Mailing Address
AMELIA DEE JACKSON NP-C
1101 JACKSON ST SW
GRAVETTE, AR 72736-9121
Phone number: 479-787-5221